Provider Demographics
NPI:1073676516
Name:BALDWIN, DEBORAH KAYE (MS LPCC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KAYE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:MS LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 DAYTON XENIA RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2751
Mailing Address - Country:US
Mailing Address - Phone:937-431-5035
Mailing Address - Fax:937-320-0824
Practice Address - Street 1:3351 DAYTON XENIA RD
Practice Address - Street 2:SUITE D
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2751
Practice Address - Country:US
Practice Address - Phone:937-431-5035
Practice Address - Fax:937-320-0824
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2269101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional